- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
- Elevance Health (Nashville, TN)
- ** Medical Director ** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health , Inc. family of companies, it's a ... 8 am - 5 pm MST or PST.** The ** Medical Director ** is responsible for the administration...is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Elevance Health (Nashville, TN)
- …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...Management decision support experience in the Post-Acute Domain, DME, Home Health , and Wound Care. + Experience… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Sanofi Group (Nashville, TN)
- …& Outcomes (MVO) team member (Senior Manager, Associate Director or Director ) serves as the medical scientific lead for population-based healthcare decision ... Identify, develop and maintain credible scientific partnerships with key medical , pharmacy, quality & health economics/outcomes/analytics healthcare… more
- Elevance Health (Nashville, TN)
- …to work remotely from home . _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty ... **Clinical Operations Medical Director ** **Utilization Management of ...medical necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer-to-peer… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- BrightSpring Health Services (Kingston Springs, TN)
- Our Company Adoration Home Health and Hospice Overview The Director , Clinical Operations is responsible for the overall direction of hospice clinical ... services. The Director , Clinical Operations establishes, implements, and evaluates goals and...and CHAP standards About our Line of Business Adoration Home Health and Hospice provides quality and… more
- HCA Healthcare (Nashville, TN)
- …where diversity and inclusion thrive? Submit your application for our Director Medical Device Management opening with Work from Home today and find out ... part of the HCA Healthcare team. **Benefits** Work from Home , offers a total rewards package that supports the...benefits may vary by location._** We are seeking a Director Medical Device Management for our team… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- HCA Healthcare (Nashville, TN)
- …complete field training assignments preparing them to function competently as a Director in the Parallon HSC ( Health Information Service Center) organization. ... for you to join Parallon HCA Healthcare as a Director in Training. **Benefits** Parallon HCA Healthcare, offers a...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Intermountain Health (Nashville, TN)
- …we encourage health for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more than a well-working body: ... and forests, all within hours of where you'll call home . Becoming a part of the Intermountain team means...are paid out based on attainment of selected Intermountain Health Board-approved goals. As the Director of… more
- Cardinal Health (Nashville, TN)
- …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- HCA Healthcare (Nashville, TN)
- …paying particular attention to those that involve healthcare reform, managed care, ERISA and health insurance. + The Director will practice and adhere to HCA's ... join an organization that invests in you as a Director of Payer Engagement? At HCA Healthcare, you come...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Evolent Health (Nashville, TN)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
- HCA Healthcare (Nashville, TN)
- …is incentive eligible. **Introduction** Do you have the career opportunities as a(an) Director Supply Chain Operations you want with your current employer? We have ... an exciting opportunity for you to join TriStar Centennial Medical Center which is part of the nation's leading...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- HCA Healthcare (Nashville, TN)
- …incentive eligible. **Introduction** Do you have the career opportunities as an HIM Director you want with your current employer? We have an exciting opportunity for ... you to join TriStar Skyline Medical Center, which is part of the nation's leading...Center offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more